Abstract:Tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis (Mtb) infection. After Mtb infects humans, its infection status is closely related to the host's own immunity, metabolism, and genetic mechanisms. Gut microbiota and its metabolites play important roles in the pathophysiological process and treatment of tuberculosis by participating in the host's immune response and metabolism. This article reviews the “lung-gut axis”, the role of gut microbiota-generated metabolites in Mtb infection, the impact of tuberculosis chemotherapy on gut microbiota, and the potential role of gut microbiota in tuberculosis treatment.
易一行, 喻容, 谢锦慧, 周婷, 向延根. 肠道菌群在结核分枝杆菌感染及其治疗中的相关性研究进展[J]. 实用预防医学, 2021, 28(12): 1546-1549.
YI Yi-hang, YU Rong, XIE Jin-hui, ZHOU Ting, XIANG Yan-gen. Research progress on the correlation of gut microbiota with Mycobacterium tuberculosis infection and its treatment. , 2021, 28(12): 1546-1549.
[1] Harding E. WHO global progress report on tuberculosis elimination[J].Lancet Respir Med,2020,8(27):2213-2600. [2] Tarashi S,Badi SA,Moshiri A,et al.The human microbiota in pulmonary tuberculosis: not so innocent bystanders[J]. Tuberculosis (Edinb),2018,113(4):215-221. [3] O'Hara AM, Shanahan F. The gut flora as a forgotten organ[J].EMBO Rep,2006,7(7):688-693. [4] Negi S, Pahari S, Bashir H, et al. Gut microbiota regulates mincle mediated activation of lung dendritic cells to protectagainst mycobacterium tuberculosis[J].Front Immunol,2019, 10(14):1142. [5] Martinezlopez M, Iborra S, Condegarrosa R, et al. Microbiota sensing by mincle-syk axis in dendritic cells regulates interleukin-17 and -22 production and promotes intestinal barrier integrity[J].Immunity,2019,50(2):446-461. [6] Corbett AJ, Eckle SB, Birkinshaw RW, et al. T-cell activation by transitory neo-antigens derived from distinct microbial pathways[J]. Nature, 2014, 509(7500):361-365. [7] Dumas A,Corral D,Colom A,et al. The host microbiota contributes to early protection against lung colonization by mycobacterium tuberculosis[J]. Front Immunol,2018,9(25):2656. [8] Sze MA,Tsuruta M,Yang SW,et al. Changes in the bacterial microbiota in gut, blood, and lungs following acute LPS instillation into mice lungs[J]. PLoS One,2014, 9(10):e111228. [9] Moreira-Teixeira L, Redford PS, Stavropoulos E, et al. T cell-derived IL-10 impairs host resistance to Mycobacterium tuberculosis infection[J]. J Immunol,2017,199(47):613-623. [10] Perry S,De Jong BC,Solnick JV,et al. Infection with Helicobacter pylori is associated with protection against tuberculosis[J]. PLoS One,2010, 5(1):e8804. [11] 赵紫平,邓高焱,冯丹,等.谷氨酰胺肠内营养对结核患者免疫与肠道屏障功能的影响[J].实用预防医学,2020,27(7):853-855. [12] Louis P, Hold GL, Flint HJ, et al. The gut microbiota, bacterial metabolites and colorectal cancer[J]. Nat Rev Microbiol,2014,12(857):661-672. [13] Correaoliveira R, Fachi JL, Vieira A, et al. Regulation of immune cell function by short-chain fatty acids[J]. Clin Transl Immunology,2016, 5(4):e73. [14] Lachmandas E, van den Heuvel CN, Damen MS, et al. Diabetes mellitus and increased tuberculosis susceptibility:the role of short-chain fatty acids[J]. J Diabetes Res, 2016,(31):6014631. [15] Segal LN,Clemente JC,Li Y,et al. Anaerobic bacterial fermentation products increase tuberculosis risk in antiretroviral-drug-treated HIV patients[J]. Cell Host Microbe, 2017,21(4):530-537. [16] Lin HV, Frassetto A, Kowalik EJ, et al. Butyrate and propionate protect against diet-induced obesity and regulate guthormones via free fatty acid receptor 3-independent mechanisms[J]. PLoS One,2012,7(4):e35240. [17] Sood U, Bajaj A, Kumar R, et al. Infection and microbiome: impact of tuberculosis on human gut microbiome of indian cohort[J]. Indian J Microbiol, 2018,58(1):123-125. [18] Scriba TJ, Carpenter C, Pro SC, et al. Differential recognition of Mycobacterium tuberculosis-specific epitopes as a function of tuberculosis disease history[J]. Am J Respir Crit Care Med, 2017,196(6):772-781. [19] Bendheim PE, Poeggeler B, Neria E, et al. Development of indole-3-propionic acid (OXIGON) for Alzheimer's disease[J]. J Mol Neurosci, 2002, 19(1-2):213-217. [20] Negatu DA,Yamada Y,Xi Y,et al. Gut microbiota metabolite indole propionic acid targets tryptophan biosynthesis in Mycobacterium tuberculosis[J]. mBio, 2019, 10(2):e02781. [21] Negatu DA, Liu JJ, Zimmerman MD, et al. Whole-cell screen of fragment library identifies gut microbiota metabolite indole propionic acid as antitubercular [J]. Antimicrob Agents Chemother,2018, 62(3):e01571. [22] Caminero JA,Garcia-Basteiro AL, Rendon A,et al. The future of drug-resistant tuberculosis treatment: learning from the past and the 2019 World Health Organization consolidated guidelines[J]. Eur Respir J,2019,54(4):1901272. [23] Namasivayam S, Maiga M, Yuan W, et al. Longitudinal profiling reveals a persistent intestinal dysbiosis triggered by conventional anti-tuberculosis therapy[J]. Microbiome,2017, 5(1):71. [24] Wipperman MF,Fitzgerald DW,Juste AJ,et al. Antibiotic treatment for tuberculosis induces a profound dysbiosis of the microbiome that persists long after therapy is completed[J].Sci Rep,2017, 7(1):10767. [25] 孙玉霞,赵善良,刘加洪,等.强化四周抗结核药物治疗对结核病患者肠道微生态影响分析[J].实用预防医学,2019,26(10):1177-1182. [26] Wu GD, Chen J, Hoffmann C, et al. Linking long-term dietary patterns with gut microbial enterotypes[J]. Science, 2011,334(6052):105-108. [27] Arpaia N, Campbell C, Fan X, et al. Metabolites produced by commensal bacteria promote peripheral regulatory T-cell generation[J].Nature,2013, 504(7480):451-455. [28] Khan N,Mendonca L,Dhariwal A,et al. Intestinal dysbiosis compromises alveolar macrophage immunity to Mycobacterium tuberculosis[J].Mucosal Immunol, 2019, 12(3):772-783. [29] Cohen SB, Gern BH, Delahaye JL, et al. Alveolar macrophages provide an early Mycobacterium tuberculosis niche and initiate dissemination[J].Cell Host Microbe, 2018, 24(3):439-446. [30] Dubourg G, Lagier JC, Armougom F, et al. The gut microbiota of a patient with resistant tuberculosis is more comprehensively studied by culturomics than by metagenomics[J].Eur J Clin Microbiol Infect Dis,2013, 32(5):637-645. [31] Wang J, Xiong K, Zhao S, et al. Long-term effects of multi-drug-resistant tuberculosis treatment on gut microbiota and its health consequences[J].Front Microbiol,2020,11(1):53. [32] Winglee K, Eloefadrosh EA, Gupta S, et al. Aerosol Mycobacterium tuberculosis infection causes rapid loss of diversity in gut microbiota[J].PLoS One, 2014, 9(5):e97048. [33] Hu Y,Feng Y,Wu J,et al. The gut microbiome signatures discriminate healthy from pulmonary tuberculosis patients[J].Front Cell Infect Microbiol,2019,9(14):90. [34] Luo M, Liu Y, Wu P, et al. Alternation of gut microbiota in patients with pulmonary tuberculosis[J]. Front Physiol,2017,8(21):822. [35] Namasivayam S, Kauffman KD, McCulloch JA, et al. Correlation between disease severity and the intestinal microbiome in Mycobacterium tuberculosis-infected rhesus macaques[J]. mBio,2019, 10(3):1018-1019. [36] Namasivayam S, Diarra B, Diabate S, et al. Patients infected with Mycobacterium africanum versus Mycobacterium tuberculosis possess distinct intestinal microbiota[J]. PLoS Negl Trop Dis,2020, 14(5):e0008230. [37] Williams NT. Probiotics[J].Am J Health Syst Pharm, 2010,67(6):449-458. [38] 李园园,郝海波,刘加洪,等.益生菌补充改善吡嗪酰胺致大鼠肝损伤及肠道菌群紊乱的效果[J].食品科学,2018,39(13):159-165. [39] Lin S,Zhao SL,Liu JH, et al. Efficacy of proprietary Lactobacillus casei for anti-tuberculosis associated gastrointestinal adverse reactions in adult patients: a randomized, open-label, dose-response trial[J].Food Funct,2020,11(1):370-377. [40] Todorov SD,Franco BD,Wiid IJ. In vitro study of beneficial properties and safety of lactic acid bacteria isolated from Portuguese fermented meat products[J]. Benef Microbes, 2014,5(3):351-366.